2 Global & Regional Across the World and by Region (% thriving in each element of well-being) Thriving in Three or More Elements World % % % % % % Americas % % % 0% % % Europe % % % 0% % % Former Soviet Union % % % % % % Middle East and North Africa % % % % % % Asia % % % % % % Sub-Saharan Africa 0% % % % 0% % Source: Gallup-Healthways Global Index, 0 Through scientific and peer-review research, we know that improving a population s well-being has a significant impact on increasing performance and lowering healthcare costs. The fact that only % of the world s population is thriving in three or more elements of well-being represents a huge opportunity for country and community leaders, employers, insurers and any population health stakeholder. There are proven interventions that these leaders can and should leverage to improve the health and well-being of their populations and, at the same time, create measurable economic value. Peter Choueiri, President, Healthways International Global leaders are becoming increasingly focused on truly understanding the health and productivity of their populations. We need standardized global measurements and comparative data to help nations identify their biggest opportunities for improving the lives of the people within their borders. These insights will guide future investments in health and well-being. Arnaud Bernaert, Senior Director, Head of Global Health and Healthcare Industries, World Economic Forum Cover graphic: Global well-being by region, as measured by the 0 Gallup-Healthways Global Index. The countries in each region are identified by their global well-being rank determined by the % of survey respondents thriving in three or more elements of well-being in 0. Moving toward the center of the graphic, the following areas are plotted for each country: % thriving of well-being, % thriving in purpose well-being, % thriving in social well-being, % thriving in financial well-being, % thriving in community well-being, and % thriving in physical well-being.

3 0 Global Rankings Analysis The Gallup-Healthways State of Global : 0 Country Rankings report provides an overview of global citizens well-being as measured by the Gallup-Healthways Global Index. In 0, our research includes more than,000 surveys in countries and areas, and captures how people feel about and experience their daily lives. Our research shows that people with higher well-being have higher productivity, lower healthcare costs, are more resilient in the face of challenges and are more likely to contribute to the success of their organizations and communities. The Global Index measures well-being across five elements (purpose, social, financial, community and physical) and individual responses are categorized as thriving, struggling or suffering (see back page for definitions). Our analysis ranks countries based on the percentage of the population that is thriving in three or more elements of well-being. In 0, % of the adults we surveyed worldwide are thriving in three or more elements of well-being, the same percentage as 0. Among all regions, the Americas have the highest percentage of their population thriving in three or more elements and lead all other regions in purpose, social, community and physical well-being. Latin Americans in particular have the highest levels of well-being globally. Europe leads all other regions in financial well-being, with nine of the top 0 countries coming from northern Europe. For the second year, Panama leads all other countries in well-being, with % of its residents thriving in three or more elements. Panama is also the highest country for purpose (0%) and physical well-being (%). Puerto Rico, Norway and Sri Lanka round out the list of top countries in the individual elements: % of Puerto Ricans are thriving in social well-being; % of Norwegians are thriving in financial well-being; and 0% of Sri Lankans are thriving in community well-being. In 0, the U.S. was ranked rd in overall well-being, falling from a th place ranking in 0. Afghanistan ranks last with 0% of Afghans thriving in three or more elements. Afghans also rank last in purpose, social and financial well-being. Residents in Bhutan have the lowest community and physical well-being globally, with only % and % of Bhutanese thriving in these categories respectively. The state of a country s well-being sheds light on levels of prosperity and progress. Government and community leaders globally have a duty to improve the lives of the people within their borders. Other stakeholders, such as employers, health plans and providers, and educators are also focusing on improving the well-being of the populations they serve. Our research provides critical information these leaders and stakeholders need to help guide policies, interventions and development investments for community transformation and real-life behavior change. These data create a truly global picture of well-being that allows population health stakeholders to act with precision and to create meaningful change. For more information, please visit:

8 GLOBAL 0 Country Rankings For More Information Methodology These data are based on an estimated,000 interviews with adults across countries and areas, conducted Jan., 0, through Dec., 0. Gallup conducts telephone and face-to-face interviews with adults aged and older for a resulting sample that projects to an estimated % of all adults globally. The Global Index consists of 0 questions added to the Gallup World Poll as part of the Gallup-Healthways Global Index. Each item is attached to an element of well-being: purpose, social, financial, community or physical. Response options for each of the 0 questions in the Global Index are based on a five-point scale, ranging from strongly disagree () to strongly agree (). Gallup compiles individual responses and categorizes respondents as thriving, struggling or suffering in each element. Definitions The Five Elements of : Liking what you do each day and being motivated to achieve your goals : Having supportive relationships and love in your life : Managing your economic life to reduce stress and increase security : Liking where you live, feeling safe and having pride in your community : Having good health and enough energy to get things done daily Levels of Thriving: Well-being that is strong and consistent in a particular element Struggling: Well-being that is moderate or inconsistent in a particular element Suffering: Well-being that is low and inconsistent in a particular element About Gallup Gallup delivers analytics and advice to help leaders and organizations solve their most pressing problems. Combining more than years of experience with its global reach, Gallup knows more about the attitudes and behaviors of employees, customers, students and citizens than any other organization in the world. Gallup consultants help private and public sector organizations boost organic growth through measurement tools, strategic advice and education. About Healthways Healthways is the largest independent global provider of well-being improvement solutions. Dedicated to creating a healthier world one person at a time, the company uses the science of behavior change to produce and measure positive change in well-being for its customers, which include employers, integrated health systems, hospitals, physicians, health plan clients, communities and government entities. The company serves approximately million people on four continents.

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